Individual
MICHAEL MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, FNP-BC, BSN, RN
Contact information
Practice address
306 W NORTH ST, ENTERPRISE, OR 97828-1041
(541) 426-7171
Mailing address
603 MEDICAL PKWY, ENTERPRISE, OR 97828-5124
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201242494RN
OR
363LF0000X
Family Nurse Practitioner
Primary
201608201NP-PP
OR
Other
Enumeration date
09/13/2012
Last updated
04/27/2024
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